kl anatomie+krk plz+eng - anatomický ústav 1. lf ukanat.lf1.cuni.cz/souhrny/akakl02.pdf ·...
TRANSCRIPT
Clinical anatomy - neck
Jan Plzák
Department of Otorhinolaryngology and Headand Neck Surgery
Institute of Anatomy
1st Faculty of Medicine, Charles Univesity, Prague
Neck dissection
Systematic removal of necklymph nodes (+ non-lymphatic structures: SMG, SCM, IJV, AN, etc)
Clearly defined anatomicalborders - compartments
Classification of ND
Radical: I-V + SCM+IJV+N XI
Modified: I-V with preservation of non-lymphaticstructures (N XI, IJV, SCM)
Selective: preservation of some level
Extended: + resection of other non-lymphaticstructure
TRACHEOTOMIA
- isthmus gl. thyroideae/lobus pyramidalis
- vv. thyroideae inferiores- nodi lymphatici pretracheales- thymus- a. thyroidea ima
Giemsa
T1W T1WT1W-Gd
T2W T1W-GdT1W
MRI+FNA-C:pleomorfic adenoma of small salivary gland
M 17 yearsancylostoma, pain for 1 month
TE, - bleeding
TO-TC APPROACH